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Individual

BEVERLY ANN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1115 ELKTON DR STE 300, COLORADO SPRINGS, CO 80907-3597
(719) 569-4899
Mailing address
4044 EAGLE TAIL LN, CASTLE ROCK, CO 80104-7927
(720) 628-0673

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0995231
CO

Other

Enumeration date
12/18/2019
Last updated
12/18/2019
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